肩锁关节脱位4种内固定方法的疗效比较  

Effects of different internal fixations for acromioclavicular joint dislocation

作　　者：郭瑛[1] 陈青娥[1] 黄智[1] 徐昕[1] 李伟[1] 

机构地区：[1]解放军第187医院骨科,海南海口571159

出　　处：《海南医学院学报》2008年第6期682-684,共3页Journal of Hainan Medical University

摘　　要：目的：比较应用克氏针张力带、喙锁间拉力螺钉固定、喙突移位内固定和锁骨钩板治疗肩膀锁关节Allman2、3脱位的效果。方法：2002年2月～2007年10月对86例肩锁关节脱位患者分别应用以上4种方法进行治疗，术后平均随访8．2个月，比较4组并发症及疗效。结果：锁骨钩板内固定术较其余3组疗效可靠、并发症少。结论：锁骨钩板是目前治疗肩锁关节脱位较理想的内固定术式之一。Objective： To evaluate the effects of different internal fixations for acromioclavicular joint Allman 2, 3 dislocation. Methods： Eighty-six patients with acromioclavicular joint Allman 2, 3 dislocation from February 2002 to October 2007 were treated using one of the following methods including Kirschner wire tension band fixation, coracoclavicular screw fixation, coracoid process replacement fixation, clavicle hook plate fixation. The patients were follow - up for an average of 8.2 months, effects and complications were compared among the four methods of treatment. Results： Patients treated using clavicle hook plate fixation had better and more reliable effect and fewer complications than those using other methods. Conclusion： Clavicle hook plate fixation is the idealist approach for the treatment of acromioclavicular joint Allman 2, 3 dislocation at present.

关 键 词：肩锁关节 肩脱位 内固定器 外科手术 

分 类 号：R684.7[医药卫生—骨科学]